Summary Background 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov , NCT03471494 . Findings Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding National Institute for Health Research Global Health Research Unit.

Background and Objectives：We performed this study to evaluate the common carotid artery intima-media thickness (CCA IMT), and its correlation with several clinical variables, including the 10 year coronary heart disease (10 Yr CHD) risk in both healthy and hyperlipidemic hypertensive (HH) Koreans. Subjects and Methods：This was a multi-centered prospective epidemiological study. The study population consisted of 227 healthy subjects without risk factors, with the exception of age (mean 49 years old, 114 males), and 243 HH subjects (mean 51 years old, 120 males). The carotid IMT and presence of plaques were semi automatically measured in both carotid arteries at a central reading facility. Results：Linear regression analysis of all the subjects revealed that the independent factors of both CCA IMT were age, pulse pressure (PP) and HDL-cholesterol, and that of the right CCA IMT were sex and 10 Yr CHD risk. In healthy subjects, the independent factor of both CCA IMTs was age, and that of the right CCA IMT was body weight. In the HH subjects, age, sex, total cholesterol, HDL-cholesterol and PP were independent factors of both CCA IMTs, but 10 Yr CHD risk was an independent factor of only the right CCA IMT. Carotid plaques were seen in 17% of the healthy subjects and 35% of the HH subjects. An ROC curve analysis showed a right CCA IMT of 0.646 mm and left CCA IMT of 0.656 mm demonstrated 60% sensitivity and specificity in differentiating healthy from HH subjects. Conclusion：This result reliably demonstrates the Korean CCA IMT, as well as several other significant pieces of information. (Korean Circulation J 2005;35:513-524) KEY WORDS：Carotid arteries；Korea.

This paper presents the overview and rationale behind the Decoder-Side Depth Estimation (DSDE) mode of the MPEG Immersive Video (MIV) standard, using the Geometry Absent profile, for efficient compression of immersive multiview video. A MIV bitstream generated by an encoder operating in the DSDE mode does not include depth maps. It only contains the information required to reconstruct them in the client or in the cloud: decoded views and metadata. The paper explains the technical details and techniques supported by this novel MIV DSDE mode. The description additionally includes the specification on Geometry Assistance Supplemental Enhancement Information which helps to reduce the complexity of depth estimation, when performed in the cloud or at the decoder side. The depth estimation in MIV is a non-normative part of the decoding process, therefore, any method can be used to compute the depth maps. This paper lists a set of requirements for depth estimation, induced by the specific characteristics of the DSDE. The depth estimation reference software, continuously and collaboratively developed with MIV to meet these requirements, is presented in this paper. Several original experimental results are presented. The efficiency of the DSDE is compared to two MIV profiles. The combined non-transmission of depth maps and efficient coding of textures enabled by the DSDE leads to efficient compression and rendering quality improvement compared to the usual encoder-side depth estimation. Moreover, results of the first evaluation of state-of-the-art multiview depth estimators in the DSDE context, including machine learning techniques, are presented.

Large-scale functional networks have been extensively studied using resting state functional magnetic resonance imaging. However, the pattern, organization, and function of fine-scale network activity remain largely unknown. Here we characterized the spontaneously emerging visual cortical activity by applying independent component analysis to resting state fMRI signals exclusively within the visual cortex. In this sub-system scale, we observed about 50 spatially independent components that were reproducible within and across subjects, and analyzed their spatial patterns and temporal relationships to reveal the intrinsic parcellation and organization of the visual cortex. The resulting visual cortical parcels were aligned with the steepest gradient of cortical myelination, and were organized into functional modules segregated along the dorsal/ventral pathways and foveal/peripheral early visual areas. Cortical distance could partly explain intra-hemispherical functional connectivity, but not inter-hemispherical connectivity; after discounting the effect of anatomical affinity, the fine-scale functional connectivity still preserved similar visual-stream-specific modular organization. Moreover, cortical retinotopy, folding, and cytoarchitecture impose limited constraints to the organization of resting state activity. Given these findings, we conclude that spontaneous activity patterns in the visual cortex are primarily organized by visual streams, likely reflecting feedback network interactions.

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